Urethritis, Cervicitis, UTI

Question 1

Incubation period for urethritis to present in males

Answer 1

1-14 days

Question 2

Dysuria is most noticeable during what time of day?

Answer 2

1st morning urination b/c increased acidity or solute content

Question 3

Which of the following suggests an alternative diagnosis other than urethritis?
A. Pain
B. Itching
C. Radiation to back
D. Frequency/urgency

Answer 3

C

Question 4

Urethritis is more common in ____

Answer 4

sexually active men

Question 5

Prostatitis most commonly seen in ___

Answer 5

young and older men

Question 6

T/F: Gonorrhoeae, chlamydia, syphilis, HIV and HSV are part of normal screeing tests.

Answer 6

False. HSV is not screened for unless there’s an ulcer

Question 7

> ___WBC /high power field on gram stain of discharge = urethritis

Answer 7

2

Question 8

What would urinalysis w/ microscopy show for urethritis?

Answer 8

1st void urine positive leukocyte esterase + >10 WBC/HPF

Question 9

Gonococcal or Non-gonococcal urethritis?

Incubation 3-10 days

Answer 9

Gonococcal

Question 10

Gonococcal or Non-gonococcal urethritis?

Discharge: mucopurulent or completely clear

Answer 10

Non-gonococcal

Question 11

Gonococcal or Non-gonococcal urethritis?

Discharge: profuse & purulent

Answer 11

Gonococcal

Question 12

Gonococcal or Non-gonococcal urethritis?

Incubation: 2- 35 days

Answer 12

Non-gonococcal

Question 13

T/F: Non-gonococcal urethritis can be co-infected w/C. trachomatis

Answer 13

False. Gonococcal

Question 14

Which of the following is NOT a characteristicof epididymitis?
A. Bilateral
B. Pain
C. Swelling

Answer 14

A. Unilateral

Question 15

Presents as non-purulent urethritis in heterosexual men

Answer 15

Trichomonas vaginalis

Question 16

Presents w/ ulcers in urethra

Answer 16

Herpes simplex virus (HSV)

Question 17

Treatment for Neisseria Gonorrhea

Answer 17

Ceftriaxone (3rd gen cephalosporin)

Question 18

Treatment for chlamydia

Answer 18

Doxycycline or azithromycin

Question 19

Which of the following pathogens does NOT cause cervicitis?
A.N. gonorrhoeae
B. Herpes simplex
C.Chlamydia trachomatis
D.E. coli

Answer 19

D

Question 20

Who should be screened for chlamydia and gonnorhea?

Answer 20

Sexually active women Men sex w/ men

Question 21

Most UTI’s occur in (males/females)

Answer 21

females

Question 22

Microbe that causes 80-90% of UTIs

Answer 22

E. coli

Question 23

T/F: A woman with a history of dysuria and vaginal irritation/discharge has >90% probability of UTI.

Answer 23

False.A woman with a history of dysuria and frequency BUT no vaginal irritation/discharge has >90% probability of UTI.